NPI | 1649324104 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DUSTIN BONDS President 479-880-2311 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR AR 3331) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2009-02-03 |